Active NPI
Alejandra Diaz, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1629627435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76726
- Practice address
- 17766 Preston Rd Ste 200
Dallas, TX 75252-5736 - Phone
- (214) 629-4637
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76726 | TX | Primary |
Addresses
Primary practice location
17766 Preston Rd Ste 200
Dallas, TX 75252-5736
Mailing address
17766 Preston Rd Ste 200
Dallas, TX 75252-5736
Phone (214) 620-4637
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dallas | Health Information Exchange (HIE) | |
| CONNECT URL | Dallas |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76726 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1629627435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17766 PRESTON RD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525736",
"telephone_number": "214-620-4637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17766 PRESTON RD STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525736",
"telephone_number": "214-629-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "ALEJANDRA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76726",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dallas",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "17766 Preston Rd Ste 200",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752525736",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dallas",
"affiliation": "N",
"address_1": "17766 Preston Rd Ste 200",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752525736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.